# 5 STAR WELLNESS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467034041
- **Authorized official:** TANNER HANCOCK (OWNER)
- **Authorized official phone:** (316) 841-7713

## Contact information

- **Practice address:** 442 REMINGTON DR E, HIGHLAND VILLAGE, TX 75077-4002
- **Practice address phone:** (316) 841-7713
- **Mailing address:** 442 REMINGTON DR E, HIGHLAND VILLAGE, TX 75077-4002
- **Mailing address phone:** (316) 841-7713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/23/2021
- **Last updated:** 04/23/2021